| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,905.46 | $1,905.46 | $2,089.30 | |
Health Alliance Plan
| Facility | $2,137.96 | $5,248.07 | $5,888.44 | |
Health Alliance Plan
| Professional | $1,905.46 | $2,238.72 | $2,818.38 | |
United
| Facility | $1,202.26 | $1,905.46 | $3,715.35 | |
United
| Professional | $1,584.89 | $1,995.26 | $2,454.71 |